The protocol must be purely objective and exact. All appearances
should be so carefully described that from the protocol itself a
diagnosis may be formulated. Conclusions and diagnoses have no
place in the protocol until the final summing up. It is better to
describe the appearance of organs than to class them as “normal”
or “negative,” “nothing notable,” etc. The only excuse for the
employment of such phrases is a lack of time for the dictation of a
proper protocol, but the scientific value of the autopsy is thereby
impaired. As the complete description of the normal appearances
would require too much time and lessen that available for the
pathologic examination, the prosector should describe briefly the
chief characteristics of the normal organ, any variation in any one
of these characteristics being sufficient evidence that the organ
had suffered pathologic change. The description of the normal organ,
however, usually offers the greatest difficulty to the beginner, and
so much time may be spent upon this that the pathologic changes are
slighted. However, the relatively small number of points constituting
the criterion for the normal organ may be learned by experience and
by the study of autopsy-protocols made by experts. The latter study
is also necessary for the acquisition of the extensive protocol
terminology that has been developed. A knowledge of this terminology
lightens greatly the difficulties of the protocol; but its misuse
leads to confusion and incorrect interpretations.
It is not a good plan to write up the protocol after the autopsy
has been finished. It should be dictated during the progress of
the autopsy. Only in this way can an accurate and purely objective
description be obtained. The use of simple, terse English and the
proper employment of autopsy terminology are also chief factors in
the production of a good protocol.
The importance of following a definitely-outlined routine of
procedure is very evident in the case of protocol-making. The general
order of the autopsy should be followed strictly in the protocol; and
all deviations from the usual method noted and described. Aside from
this general order, each organ or part as it is examined should be
systematically described according to the following scheme:
1. =Location and relation to other parts.=
2. =Size and weight.=
3. =Shape. (Contour, lobes, edges, borders, character of surface,
etc.)=
4. =Color.=
5. =Consistence.=
6. =Odor.=
7. =Cut surface.=
8. =Blood-content.=
9. =Histologic features in detail. (Capsule, surface, parenchyma,
stroma, vessels, etc.)=
10. =General and localized pathologic conditions.=
For the _hollow viscera_ and _body-cavities_ the following points
should be systematically noted in addition:
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account